小腿远端外伤致足拇长伸肌肌腱断裂治疗分析

目的探讨小腿外伤致足拇长伸肌肌腱断裂的解剖学基础和治疗效果。方法12例患者均用第2，3趾长伸肌肌腱移位重建足拇长伸肌肌腱功能。结果经随访6-18个月，11例患者拇趾屈伸功能恢复良好。结论用2．3趾伸肌肌腱重建足拇长伸肌肌腱功能，术后功能恢复好，疗效满意。     

对注射HMG后副作用的对策

一、前言使用HMG诱发排卵,从1960年由Lunenfeld应用于临床以来,广泛地认为对第二度闭经及用Clomiphene无效的第一度闭经有效。作者对156例妇女用HMG-HCG诱发排卵,排卵率为64.1%,妊娠率为35.9%。使用本疗法常见的副作用有:卵巢过度刺激症候群、多胎妊娠、高流产率等,目前尚无很好的解决方法。如包括轻度卵巢过度刺激症候群则在多数排卵病例中均可见到本症、在妊娠病例中发生率更高,且可有重症,也有多胎妊娠与高流产率,故须考虑本疗法的副作用。副作用的狭义意义,只是指卵巢过度刺激症候群。本文对其发生情况及对策进行叙述。     

强脉冲光子脱毛的临床治疗经验与探讨

目的探讨强脉冲光子脱毛治疗相关操作技巧。方法应用强脉冲强脉冲光子脱毛方法，治疗113例患者计121个部位，对毛发的密度、色泽及硬度等进行随访。结果112例患者治疗终止时体表毛发均明显减少，患者满意。结论运用恰当的强脉冲光子脱毛操作方法能取得满意的效果。     

以远端穿支血管为蒂的皮神经营养血管逆行皮瓣修复小腿和足踝部软组织缺损

目的 探讨以远端穿支血管为蒂的皮神经营养血管逆行皮瓣修复小腿和足踝部软组织缺损的皮瓣选择,技术要点和临床疗效.方法 采用以腓动脉穿支为远端蒂的腓肠神经营养血管逆行皮瓣修复小腿下端、足跟负重部与足踝前侧或外侧创面16例,以胫后动脉穿支为远端蒂的隐神经营养血管逆行皮瓣修复足跟内侧创面6例,以胫前动脉穿支为远端蒂的腓浅神经营养血管逆行皮瓣修复足踝前侧或内侧创面3例.创面面积3.0 cm×3.5 cm～8.5cm×9.0cm.结果 所有皮瓣均存活,2例远端静脉回流障碍,经换药后痊愈.1例皮瓣远端伤口裂开,重新缝合后痊愈.25例获随访8个月至5年,发现皮瓣外形满意,具有保护性感觉,无磨损破溃,患者穿鞋行走正常.结论 以腓动脉、胫前动脉或胫后动脉穿支为远端蒂的神经营养血管皮瓣血供可靠,方法简单,不牺牲主干血管,是修复小腿和足踝部软组织缺损的良好方法.避免皮瓣张力是保证皮瓣成活的关键.     

经最佳微创化操作孔腹腔镜联合手术的临床研究

目的总结腹腔镜下联合脏器手术的临床经验，探讨经最佳微创化操作孔行腹腔镜联合手术的临床应用价值。方法回顾分析2004年10月-2008年12月间72例腹腔镜联合手术的临床资料，研究不同类型的联合术腹壁穿刺孔布局、数量的合理性及运用技巧。结果72例腹腔镜联合手术均获成功，无严重并发症发生及中转开腹，手术时间50～150min，平均88．89min，术后3—6d痊愈出院。结论合理布局及灵活运用腹壁操作孔行腹腔镜联合手术既保证能安全有效地处理多种疾病，又能节省手术时间，只有做到最少操作孔数量与最短手术时间的有机统一，才能减少手术创伤的总量，从而达到最佳微创化效果。     

早餐，蔬菜先行不怕瘦不了！

天一热就想减肥对于“管不住嘴”和“不爱运动”的人不要贪坐，就能减掉小肚腩！     

异丙酚麻醉下行人工流产术的临床观察

我院自2004-2005年以来在异丙酚麻醉下行人工流产术400例取得了较好的效果，现报道如下：     

不明热的诊断

一、定义与分类不明热于 1961年被提出 ,主要依据以下三点 :①发热持续三周以上 ;②发热达 3 8℃以上 ;③入院三周内难以确诊。目前也有人建议将第三条改为“三日内难以确诊”的病例。近年来 ,随着疾病性质变化 ,将不明热大致区分为 :①典型的不明热 ;②医院内发生的不明热 ;③中性粒细胞减少的不明热 ;④与ＨＩＶ有关的不明热等几种类型。各类型包含的疾病不同 ,一般来讲 ,与典型的不明热相比 ,后三者之间不易鉴别。二、病因与过去相同 ,在不明热中 ,感染性疾病 (3 0 % 40 % )、恶性肿瘤 (2 0 % 3 0 % )、胶原病 (10 % 2 0 % )为三大发病原…     

INFILTRATING T LYMPHOCYTE ACTIVITY IN GASTRIC AND COLONIC CANCER AND EARLY DECIDUA

The subclasses of mononuclear ceU infiltrates and T cell activity in tumor tissue as weU as early decidua and placental villi were studied in situ to clarify the differences and similarities between tumor immunity and pregnancy immunity. Biopsies of muco- sal specimens from patients with chronic gastritis and colitis were used as controls. It was found that there were numerous inactive T lymphocytes in tumor iaterstitium and decidua whereas there were numerous activated T cells in inflammatory mucosa, and there were hardly any lymphocytes in tumor parenchyma and villous tissue. In other words, there is no effector - target contact in tumor immuni ty and pregnancy immunity, indicating certain simi- Iaritie.s between them.     

人脐带间充质干细胞获得和纯化及向软骨细胞分化能力的研究

Objective To explore the efficient way to purify and to enrich umbilical cord mesenchymal stem cells which have abilities to differentiate into chondrocytes. Methods Umbilical cord was acquired from new born infants and chopped into 1 mm2 cubics, then they were pretreated with colleganase and trypsin so as to get the mixed cell suspension. CD45(-),CD90(+) cells were acquired from the mixed cell suspension via FCM sorting and were cultured in the medium as umbilical cord mesenchymal stem PO cells. The PO cells were detached and passaged by multiplex collagenase NB4 and the positive rate of CD90 and CD45 of the P1-P3 cells were observeed via FCM ; the P3 cells were induced to differentiated into chondrocytes. Results FCM results showed that the positive rate of CD90 on P1, P2, F3 was (80.86 ± 7.85)%,(95.86± 3.28)%,(97.15± 1.43)%, while the positive rate of CD45 on P1, P2, P3 cells was (2.53 ±0.28)% and (0.97 ± 0.48)% and (0.05 ± 0.01)% respectively; P3 cells had differenciated into chondrocytes. Conclusion FCM presorting and Multiplex collagenase detachment procedures can swiftly acquire highly purified human umbilical cord mesenchymal stem cells which have the ability to differentiate into chondroeytes.